Mrs Wendy McNamara1, Dr David Morrison1
1Royal Perth Hospital, Perth, Australia
There is a significant cohort of patients who require the use of paste to fill deficits or creases in their peristomal skin prior to applying their pouching system. For some patients the use of paste can be messy, painful and time consuming. The use of a re-usable individualised silicone device fitting into the crevice or skin fold near the stoma is a new and novel solution. In turn it is hoped to increase wear time of the stoma pouching system, improve quality of life and decrease the financial burden on the Stoma Appliance Scheme.
Royal Perth Hospital Stomal Therapy Service in partnership with the Bioengineering Department has been developing customised silicone stoma seals. The seals are re-usable and are used in conjunction with conventional pouching systems. The seals are designed to fill skin folds or creases that may otherwise contribute to leakage, appliance failure and peristomal skin complications.
Bioengineering undertake a 3D scan of the patient’s abdominal topography in a seated upright position to demonstrate all folds and creases. From this, a reverse mould is 3D printed and an individualised silicone seal manufactured. The Stomal Therapy Service educates the patient on the correct application. A comprehensive evaluation of the device is also being undertaken. This is proving to be an easier and cost effective solution to potentially complex clinical situations.
Implications for practice within the Stomal Therapy Nursing community could be immense given the cost of service delivery both to an individual, quality of life, health services and the environment.
Wendy McNamara is the Clinical Nurse Consultant for the Stomal Therapy Service at Royal Perth Hospital. She has post-graduate qualifications in stomal therapy and continence and completed her Master’s in Clinical Nursing in 2016. She is involved in research at Royal Perth Hospital and is currently undertaking her PhD at Curtin University. Wendy sits on the Stoma Product Appliance Panel, is president of the WA Branch of the AASTN and in her spare time volunteers at the Western Australian Ostomy Association and loves spending time with her family and friends including 2 dogs, 1 cat and multiple fish.